News. President s Message. March/April/May Check out our new website: InsIde ThIs Issue: 2013 Board of TrusTees

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1 News March/April/May 2013 President s Message JoAnn Krivetzky, MD, FACOG ICE U! in the e our rdable 2013 Board of TrusTees OFFICERS JoAnn Krivetzky, M.D. - President Luis Martino, M.D. President Elect Danielle Kiko, M.D. - Treasurer Michael Van Ness, M.D. Past President DELEGATES Carl Foster, M.D. Mark Hostettler, M.D JoAnn Krivetzky, M.D. Mathew LiCause, M.D. Roger Palutsis, M.D. Charles Smith, M.D. Mark Stachel, M.D. David Utlak, M.D. ALTERNATE DELEGATES Jack Baker, D.O David Bitonte, D.O. Anthony Degenhard, D.O. Michael Gurney, M.D. Robert Hamilton, M.D. Kathy Haupt, M.D Danielle Kiko, M.D Tracy Kotnik, M.D. Luis Martino, M.D. Brian McClain, M.D. Andrew Stalker, M.D. Michael Van Ness, M.D. Mark Vogelgesang, M.D. CREDENTIALS COMMITTEE Todd Meyerhoefer, M.D Mark Vogelgesang, M.D. EXECUTIVE DIRECTOR Kevin P. Metz, Executive Director Becky Bors, Administrative Assistant InsIde ThIs Issue: 2013 Calendar of Events... 3 ntgomery 6th District Councilor... 5 ation 111th Annual Meeting... 7 Stark County Physicians Alliance... 9 es New OH Statute on Notice to Patients Stop TB New Ohio Legacy Trust As we are approaching this year s annual Ohio State Medical Association meeting, I want to take the opportunity to share some information regarding the process and meeting itself. Currently, SCMS is in District 6. Our district includes Stark, Mahoning, Trumbull and Columbiana Counties. Each county medical society has a certain number of delegates that represent their geographic area at the district and state level. The number of delegates is based on each county medical society s membership. The OSMA House of Delegates is the legislative body for governance of the Ohio State Medical Association. The House of Delegates is responsible for deliberating issues presented in the form of resolutions and determining if organizational policy should be established for a Dr. JoAnn Krivetzky particular issue. Resolutions that are adopted at the meeting are then carried forward by the OSMA leadership to their appropriate destination such as the AMA or legislators. Physicians, county medical societies, districts or medical specialty societies can author and introduce a resolution to the House of Delegates. A resolution begins by stating or defining an issue. It then lists resolves or suggestions for further exploration or resolution of the issue at hand. Listed below are examples of some of the resolution topics that have been proposed and will be debated at this year s annual meeting of the OSMA House of Delegates. A comprehensive list of resolutions can be found on the OSMA website. Counsel restructuring (includes redistricting) Adopting a new mission statement for OSMA Discount for OSMA dues New education loan repayment program for Ohio physicians Crafting innovative ways of funding graduate medical education Mandatory mediation for a pre-suit medical malpractice agreement Oppose the criminalization of medical statements Advocating public education for the use of appropriate healthcare resources The obesity epidemic and patient accountability Concussion care Maintenance of Certification and Maintenance of Licensure vs. Board Certification, Continuing Medical Education, and Lifelong Commitment to Learning Physicians Caring for Family Members Transparency, fairness, and abiding by laws of the State Medical Board of Ohio Decrease in medical license renewal fee in the State of Ohio Maintain access to continuing medical education continued on page 15 We have access to the politicians and the state medical association. Together, we have a voice that will be heard! Contact us at starkmedical@ameritech.net or call We look forward to hearing from you! Opinions expressed by the authors are their own, and not necessarily those of the Stark County Medical Society, Trustees or individual members. SCMS News reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted. Check out our new website:

2 SCMS News Health Care Practice Group Randolph L. Snow Thomas W. Connors C. Jay Deeds Todd S. Bundy James M. Wherley Kristin R. Zemis Robert B. Preston, III Ashley M. Wagner We believe health care professionals deserve the same high quality care they give their patients. We specialize in: Compliance: HIPAA, HITECH, AKS, Stark II Physician employment contracts Nursing home representation Fraud and abuse matters Medical collections Asset protection General business advice Training for staff Our commitment to providing exceptional service sets us apart. Experience the difference. CANTON DOVER BMSA.COM 2

3 Stark County Medical Society March/April/May 2013 March 7 (Thursday) Board Meeting March 21 (Thursday) General Membership Meeting April 6 7 (Saturday-Sunday) OSMA Annual Meeting May 2 (Thursday) Board Meeting May 8 (Wednesday) OSHA Seminar 2013 CALENDAR OF EVENTS September 18 (Wednesday) Golf Outing General Membership Meeting & Board Meeting October 10 (Thursday) General Membership Meeting November 7 (Thursday) Board Meeting December 5 (Thursday) Board Meeting Every effort has been made to publish an accurate Calendar. Please continue to check the SCMS News for any unforeseen modification in dates and locations. Thank you. OHIO MEDICAL RECORD COPyING CHARGES he lace THURSDAY S PLAZA: 4685 DRESSLER RD. NW CANTON Specializing in: On-Site Fittings Payroll Deduction Group Coordination Uniform Allowances Large Selection In Stock: Cherokee Baby Phat Koi Tooniforms Jockey Landau Barco Skechers Peaches Grey s Dickies Marc Ecko Scrubworks Littman Stethescopes Cherokee Work Wear and more! WITH WitH THIS this COUPON CouPon NOW now THROUGH through JANUARY march 31, 2013 RECEIVE 15 % OFF * YOUR ENTIRE PURCHASE WHEN YOU PRESENT YOUR MEDICAL BADGE! *Cannot be combined on any other offers or on previous purchases. Cannot be used on Buy Two & Save Pricing & clearance merchandise. This offer has no cash value and is not redeemable for cash. Applies only to merchandise purchased from lace he THURSDAY S PLAZA: 4685 Dressler Rd. NW Canton

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5 Stark County Medical Society March/April/May 2013 FROM THE DESk OF 6Th district COUNCilOr, Carl Foster, M.D. In January, the Council of the Ohio State Medical Association (OSMA) met by teleconference to consider whether to support expansion of Medicaid as permitted by the Affordable Care Act. (ACA) This expansion had already garnered the support of the American Academy of Family Practice and the Ohio Hospital Association. The expansion would extend health care access to an additional 700,000 Ohioans whose income is 138% of the federal poverty level. (About $23,000 for a family of four) The entire cost of the expansion will be covered by the Federal Government for the first three years and the Federal contribution will gradually decrease to 90% by As OSMA President Deepak Kumar has said, expansion means we have a tremendous chance to improve the overall health of our society in a short period of time while at a modest cost to our state. Indeed, Medicaid expansion of coverage to low-income adults has been associated with a reduction in mortality from all causes and improved access to care 1. WANT SOMETHING THAT S YOURS? Unlike major medical which pays the hospitals and the doctors, Aflac pays cash directly to you. This policy belongs to you not the employer. You never know what life throws at you. Which is why Aflac is here to keep you under our wing. Programs available Please contact your preferred Accident vendors if you have questions Disability about Aflac programs. Sickness Yen Huynh Cancer Heart Attack/ Stroke Brandi Phillips Life The expansion will also have positive effects on the Ohio economy at large. The expansion will be funded by tax dollars that would otherwise leave the state. There will likely be an increase in employment as the health care industry gears up to care for more Ohioans. This will increase consumer activity and boost commerce. The expansion would also substantially maintain the reimbursement that hospitals receive for non-compensated care. Otherwise these payments would be substantially reduced. The OSMA will continue its advocacy on behalf of Ohio Physicians with the Legislature and the Governor s Office. Concerns about equitable reimbursement, simplifying rules for participation in Medicaid, and tort reform will be addressed as always. The OSMA also recognizes that access does not always equal care. The OSMA will also continue its patient advocacy to help fulfill the promise of health care expansion. 1 NEJM; 9/13/2012, Vol.367 Issue 11, p

6 SCMS News QUALITY INSURANCE SERVICES The OSMA INSURANCE AGENCY is committed to offering quality insurance services to all OSMA members, their families, and their staffs. The OSMA s in-house insurance agency is dedicated to providing useful advice, review and planning on a wide range of insurance products and services, all designed to meet the individual and practice insurance needs of member physicians. In addition to medical liability insurance, the Agency also provides: HR360 Online HR Library Human Resource Essentials e-benefits Manager Standard or Enhanced Payroll On-line Enrollments ERISA & Health Care Reform (PPACA) Compliance Flexible Spending, 105 & HSA Administration COBRA Administration PLANNING SERVICES Employee/Employer Benefit HRA Feasibility Study Retirement BUSINESS INSURANCE PLANS Medical Malpractice Group Medical Limited Benefit Medical Plans Group Long & Short Term Disability Dental Vision Life Office Overhead Expense Long Term Nursing and Home Health Care Plans Commercial Liability (BOP s) Voluntary Products INDIVIDUAL INSURANCE PLANS: Medical Malpractice Health Disability Income Dental Vision Medicare Supplements Life Long Term Nursing and Home Health Care Plans Auto and Home Owners For details on OSMA insurance benefits call the OSMA Insurance Agency at (800) A PROVEN LEADER in patient outcomes Look at the Evidence 97.6% of patients achieving community discharge goals Center data gathered for time period 2nd Quarter 2009 through 1st Quarter 2010 based on patients discharged from ManorCare Health Services - Belden Village. Focus on success! Selecting a post-hospital rehabilitation provider is a critically important decision. The clinical team can significantly impact the success of your patient s treatment. Choose a clinical team with a demonstrated track record of success and a proven commitment to clinical excellence. ManorCare Health Services Belden Village 5005 Higbee Avenue, NW Canton, OH

7 Stark County Medical Society March/April/May 2013 SCMS 111 th January 11, 2013 Annual Meeting Stark County Medical Society Honors: Richard Pryce with Lifetime Achievement Award! in recognition of our 2102 retired members William Fiegenschuh, M.D. Richard Fuller, D.O. Alexis Sayoc, M.D. in recognition of 50 Years in medicine Richard Pryce Terri & Ed Roth Seth Brown, D.O. Delbert Craner, M.D. Surendra Dash, M.D. Alan Kamen, M.D. Irwin Lilenfield, D.O. Myron Puterbaugh, M.D. Robert Rollins, D.O. Arnold Rosenblatt, M.D. David Smith, D.O. Thurman Tobias, M.D. Guillermo Zaldivar, M.D. Dr. Kotnik, Eileen Kelly & Dr. Vogelgesang Drs. Gurney & Haban Drs. Van Ness & Krivetzky SCMS Members Wish Eileen Kelly a Happy Retirement after 32 + Years of Dedicated Service! 7

8 SCMS News BEGAN WITH WEIGHT LOSS SURGERY AT ST. VINCENT CHARITY MEDICAL CENTER We have a lot more in common than bariatric surgery. We re all family. And now, shopping for clothes isn t just an impossible chore. It s actually exciting like so many other things we re doing in our new lives. Meet Dr. Aviv Ben-Meir at one of our FREE seminars. To register, call or visit stvincentcharity.com Dr. Aviv Ben-Meir is now seeing patients at 4590 Dressler Rd NW, Canton, OH Our New Life 7.5x5_key1.indd 1 11/12/12 4:44 PM Markets Change. Are You Prepared? When you stop and look back at what s happened in the markets, it s easy to realize how quickly things can change. That s why we should schedule some time to discuss how the market can impact your financial goals. We can also conduct a free portfolio review to help you decide if you should make changes to your investments and whether you re on track to reach your goals. Stop by or call today to schedule your free review. Adam P Olenick, AAMS Financial Advisor Dressler Road NW Thursday's Plaza Canton, OH Stark County Medical Society Newsletter Home Oxygen Concentrator, Liquid & Portable Sleep Apnea Equipment Supplies Hospital Beds Seat Lift Chairs Wheelchairs Power, Lightweight & Manual Elevators, Lifts & Ramps Member SIPC 8

9 Stark County Medical Society March/April/May 2013 stark County Medical society, in conjunction with sirak financial Companies is excited to announce an exclusive group purchasing Initiative for its member physicians called: STARK COUNTY PHYSICIANS ALLIANCE a Benefit of stark County medical society The purpose of the program is to utilize the buying power of the Stark County Medical Society s membership to secure reduced costs in medical malpractice insurance through MEDICAL PROTECTIVE. use the strength of scpa to your advantage and lower your costs including medical malpractice insurance! Participation is optional, but the benefits are exceptional! You can elect to join at your next renewal, but in order to provide you with the best option(s) available, we would like to gather preliminary information. Please complete the information below and return to Sirak Financial Services at (fax) or it to scpa@sirakfinancial.com. Thank you for your continued support of Stark County Medical Society. Regards, Stark County Medical Society Group Name: Physician Members: Current Insurance Renewal Date: Current Insurance Company: Contact Person: Best Number to call: Please reply to SCPA@sirakfinancial.com or fax to For questions, please call (800) and ask for sheila Klenner or Barry riggs read what one of our members is saying about the stark County Physicians alliance. "Since joining the Stark County Physician Alliance through the Stark County Medical Society, our group has enjoyed excellent service and competitive pricing with Sirak Insurance Agency. I highly recommend Sirak Insurance Agency and their Stark County Physician Alliance program to the members of Stark County Medical Society." Syed Zaidi, MD, Radiology Associates of Canton, Inc. Dr. Zaidi has been a member of the SCMS since adam p. Olenick Qualifies for edward Jones Financial advisor leaders conference Adam P. Olenick, an Edward Jones financial advisor in Canton, qualified for the firm s 2013 Financial Advisor Leaders Conference. This conference recognizes financial advisors who are among the leaders in the financial-services firm. The conference also will provide additional training to help them serve more individual investors in their communities. Olenick was one of only 793 financial advisors who qualified out of the firm s nearly 12,000 financial advisors. The 2013 conference will be held in May at the firm s headquarters in St. Louis, Mo. Qualifying for this conference shows a tremendous amount of discipline, commitment and work ethic, says Alan Kindsvater, an Edward Jones partner responsible for Advanced Branch Training, and host of the conference. Edward Jones is headquartered in St. Louis. The Edward Jones website is located at and its recruiting website is Member SIPC. ADAM OLENICK, EDWARD JONES 4663 Dressler Road NW, Thursday s Plaza Canton, OH (330) kristen.paulus@edwardjones.com 9

10 SCMS News NeW OHiO StatUte ON NOtice to patients By: Scott P. Sandrock Brennan, Manna & Diamond, LLC A new statute was adopted by the Ohio Legislature to go into effect March 22, 2013 that requires written notice be given to patients of any Ohio physician who changes their employment. To deal with this situation, a new statute was adopted going into effect on March 22, Under the statute, in the event a physician terminates their employment for any reason, the employer is required to send a written notice to each patient seen by that physician in the two years prior to the termination, which notice has to describe that the physician will no longer be practicing at that location, provide the physician s new contact information so the patient could contact the physician if they wish to do so, the date when the physician will no longer be treating patients, information of how the patient may obtain their medical records, and if applicable, contact information for an alternate physician at that practice who could provide care for the patient. The notice must be sent no later than the date of termination or 30 days after the employer has knowledge that the termination or resignation is going to be effective, whichever event is later. Currently, the Ohio Medical Board has a regulation dealing with the termination of the physician-patient relationship (OAC ). Under this rule, a physician has the right to terminate a relationship with patients, provided written notice is sent to the patient and the physician takes other steps. This provision does not apply to patients seen on an episodic basis such as an emergency room or a drop-in clinic setting. If a physician is leaving a practice, the physician is required to give a notice 30 days in advance of their last date of service by regular mail to all patients seen by that physician during the preceding three years and take other steps. There has been some confusion or uncertainty about whether these notice provisions were required in the setting of a physician leaving a group or a hospital based practice where other physicians continue to practice. This uncertainty created some conflicts where the departing physician would like his or her patients to know where the physician is going so that the patient could have a continuity of care with that physician. At the same time, practices may want to have those patients be aware that the patient could continue to be seen by other physicians in the group. If the employer does not want to send the notice, the employer can provide the physician with the contact information for their patients, and can require the physician to send the notice. The statute specifically requires the State Medical Board to develop a form notice and regulations to implement this requirement. This notice requirement does not apply in the circumstances of a physician who performed services on an episodic basis such as an emergency department or urgent care center, medical residents, or physicians providing patient services through community health programs. While this new legislation will answer some questions on notice to patients, it unfortunately leaves other questions yet to be answered. Ohio currently still permits medical practices to include non-competition provisions in their contracts with their employed physicians. The new statute does not appear to make any changes concerning the legality of non-compete provisions. There are other questions that remain unanswered and we will keep the Medical Society posted of any additional information as it becomes available. If you would like a copy of the statute or regulations or should you have any questions concerning these matters, please contact Scott P. Sandrock, Brennan, Manna & Diamond, LLC, phone: (330) , facsimile: (330) , spsandrock@bmdllc.com. 10

11 Stark County Medical Society March/April/May 2013 shortages PromPt PrioritizinG tb ControL Shortages of Isoniazid (INH) an anti-tb drug and Tubersol (PPD) a TB skin test reagent prompt local health authorities to prioritize TB Control. TB Local health authorities recommend prioritizing treatment with INH for 1) those with active TB disease; 2) recently diagnosed contacts to current infectious TB cases; and 3) those individuals with LTBI who are at the greatest risk for progression to active TB disease (i.e. HIV-infected individuals) or face the hazard of severe illness (i.e. children <5 years old). Screening for latent M. tuberculosis infection (LTBI) should be conducted based upon a facility s risk for transmission of TB. Stark County is a low risk community and most facilities in Stark County are low risk. Through prioritized testing, fewer Health Care Workers (HCWs) will be tested and many facilities will discontinue annual testing and adopt these low risk guidelines: All HCWs should receive baseline TB screening upon hire, using two-step TB skin test (TST) or a single blood assay for M. TB (BAMT). After baseline testing for infection, additional TB screening is not necessary unless an exposure to TB occurs. HCWs with a baseline positive or newly positive test result for M. tuberculosis infection or documentation of treatment for LTBI or TB disease should receive one chest radiograph result to exclude TB disease (or an interpretable copy within a reasonable time frame, such as 6 months). Repeat radiographs are not needed unless symptoms or signs of TB disease develop or unless recommended by a clinician. Risk assessment protocols can be found in the CDC s Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Healthcare Settings, 2005 : pdf/rr/rr5417.pdf. If you have questions or need assistance obtaining INH, notify your local health department. Facilities with TB screening guidelines outlined in Ohio law such as LTCF s, prisons, hospice, jails, maternity homes and adult care facilities should continue to follow state requirements. Requirements for theses are available at: 11

12 SCMS News ADOPT-A-RESIDENT PROGRAM For the 19th consecutive year, the SCMS has appealed to the generosity of its members to adopt one or more Resident Members by paying their OSMA dues of $ This is an excellent opportunity for Active and Retired Members to support the new Residents in our medical community. Sincere Thanks to: Michael Markel, M.D. 3 residents Brian McClain, M.D. Todd Meyerhoefer, M.D. 3 residents David Stachel, M.D. Welcome... New members! FARES ALQARA, M.D. Albert T. Domingo, MS, M.D., Inc Parkway Street N.W., Suite A Canton, OH FAX: Obstetrics and Gynecology MICHAEL G. GRIMES, M.D. Internal Medicine Center of Jackson/Massillon 2823 Aaronwood Avenue N.E. Massillon, OH FAX: Family Practice JOHN W. PERRy, M.D. Mercy Cardiovascular Institute 1330 Mercy Drive N.W. Canton, OH FAX: *Cardiothoracic Surgery MARK S. SLABINSKI, M.D. Emergency Medicine Physicians, Ltd Dressler Road N.W. Canton, OH FAX: Emergency Medicine SANDEEP ANREDDy, M.D. Cardiovascular Consultants, Inc Sixth Street S.W., Suite A2-710 Canton, OH FAX: Cardiovascular Diseases BRETT A. BUTLER, M.D. Regional Vascular & Vein Institute 1445 Harrison Avenue N.W., Suite 103 Canton, OH FAX: *Vascular Surgery MATTHEW F. KNOCH, M.D. Pulmonary Physicians, Inc Tuscarawas Street West Suite 100 Canton, OH FAX: *Pulmonary Diseases Critical Care Medicine *Internal Medicine KURT L. MUELLER, D.O. Alliance Medical Associates, Inc. 200 East State Street Alliance, OH FAX: ELIZABETH A. RUSS, M.D. Radiology Services of Canton, Inc Mercy Drive N.W. Canton, OH FAX: Diagnostic Radiology NICHOLAS E. SHEROCK, JR., D.O. Nicholas E. Sherock, Jr., D.O., LLC 830 South Main Street, Suite 102 Orrville, OH FAX: *Obstetrics and Gynecology STEVEN WILLARD, M.D. Albert T. Domingo, MS, M.D., Inc Parkway Street N.W., Suite A Canton, OH FAX: Obstetrics and Gynecology MEGAN J. WOODWARD, M.D. S.C. Pediatric Associates, Inc. Children s Clinic 1826 South Arch Avenue Alliance, OH FAX: Pediatrics Lives Change, But it remains important to partner with professionals we can trust. Melinda Reiss REALTOR Contact: MELINDA REISS cell: (330) office: (330) X mreiss@dehoff.com BUYING SELLING RELOCATING SERVING ALL OF YOUR REAL ESTATE NEEDS! 12

13 Stark County Medical Society March/April/May 2013 New Ohio legacy trust Offers asset protection Options for doctors By Brian C. Layman It is a perilous time to be a Doctor in today s litigious society. As a doctor your personal financial health is threatened by the daily routines in your work place. Medical malpractice claims that exceed your insurance policy limits can result in ruin. It is important to note that tort reform provides no cap for economic damages. Claims from employee harassment or wrongful discharge may not be covered by insurance. Even outside of the work place your accumulated assets are at risk. The title Doctor is synonymous with target defendant or deep pocket defendant. As a result of this perception, individuals who have a claim against you for an automobile accident or an injury at your home will push for maximum compensation from you. Up until now in Ohio there wasn t much you could do to protect yourself and your family, from creditors. This is about to change. Because I was involved in drafting House Bill 479, I had the distinct honor of being with Governor Kasich when he signed it on December 20, Part of this bill includes the Ohio Legacy Trust Act which allows an individual to put assets into a trust that are protected from creditors. Beginning on March 27, 2013 you will have an opportunity to take advantage of this new law. States like Nevada, Alaska and Delaware have had this kind of law for years, but Ohio is the first state in the Midwest to pass such a law. Ohio borrowed the best provisions from these other states and now has one of the most protective laws in the country. An Ohio Legacy Trust is an irrevocable trust and can be established by anyone, not just an Ohioan. However, there must be at least one Ohio trustee who has custody of the assets, maintains the trust records or materially participates in the management of the trust. The person establishing the trust (called a settlor) cannot be trustee. Typically the trustee would be an Ohio bank or trust company. The settlor then transfers assets to the trustee of the Legacy Trust and is the primary beneficiary, often with spouse and/or children as permissible beneficiaries as well. Under the laws of most states, if a settlor is a beneficiary of a trust she established, creditors can reach the trust assets to the extent that the settlor could benefit from the trust. However, the purpose of the Legacy Trust is to permit the settlor to benefit from the trust but enjoy protection from the settlor s personal creditors. Sound too good to be true? Well, the answer is yes and no. Transfers to the Legacy Trust (like any gift transfers) are subject to claims by a specific creditor that the transfer was fraudulent. A transfer to an Ohio Legacy Trust cannot be effective if it renders you insolvent you cannot transfer all of your assets to a Legacy Trust and then jilt current creditors. There is also a statute of limitations period determining how long a creditor might have to contest such a transfer. Ohio s period is the shortest in the country. Ohio s statute protects transfers to Legacy Trusts after only eighteen months from the date of transfer with respect to non-preexisting creditors. Ohio s statute protects transfers to Legacy Trusts after the greater of eighteen months from the date of transfer or six months from the date the creditor discovered or should have discovered the transfer to the trust with respect to preexisting creditors. Most other states, including Nevada, Alaska or Delaware, allow plaintiff/creditor s attorneys a much longer time to try to undo a transfer - from two to four years. The Ohio legislature determined that it was necessary to allow certain classes of creditors to access the trust assets even though most creditors are barred (known as exception creditors ). Ohio provides an exception for divorcing spouses (but only if the settlor was married to the divorcing spouse prior to the transfer to the Legacy Trust). Ohio also extends protection to child support orders. While the Ohio Legacy Trust is not a panacea, it will offer you an opportunity to protect you and your family s wealth. In addition to the right to receive income and principal from the Legacy Trust, the settlor can retain other significant powers, including the right to change trustees, the right to change the distribution of the ultimate distribution of the trust, the right to manage investment of the trust assets and the right to use the trust assets. The rules governing the formation and administration of the Legacy Trust (both tax and nontax) can be quite complex. To learn more about how a Legacy Trust can benefit you and your family, seek the advice of competent and qualified counsel and a qualified trust company that has experience with these types of trusts. Brian Layman is a principal attorney with Layman, D Atri and Associates, a law firm specializing in estate planning, trust and business law (brian@laymandatri.com) and was involved in the drafting and passage of the Ohio Legacy Trust Act. 13

14 get your special pricing and preferred services exclusively for scms MeMBers! 14 Accu Medical Waste Services Aflac DocBookMD DocBookMD.Com Escallate, LLC Huntington/First Data Medline (DiaMed, LLC) Sirak Financial Companies Shred-It SCMS News Wanted: Protect Your Practice and Yourself With Disability Insurance for Physicians Protect Your Practice and Yourself Protect Your Practice and Yourself With Disability Insurance for Physicians With Disability Insurance for Physicians DisabilitY insurance DisabilitY insurance You Individual work benefits hard up to to build $17,000 your per month practice available. and give your clients the best possible care. 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All policies and riders may not be available in all specialty, states, at applicant s all issue ages income and and to all amount occupational of other classes. disability Ask income your insurance representative in force for and complete applied details. for. The maximum Eligibility benefit is subject amount with For policies Lifetime issued Benefit in Rider New is $10,000 York: These 1 per month. policies provide disability insurance only. They do NOT provide basic hospital, basic medical or major medical insurance as Actual All to For underwriting benefit and amount riders approval. defined policies by the issued New in York issued may New State not York: depends be Insurance available These on medical policies Department. in all specialty, states, provide at The applicant s disability all expected issue ages insurance income benefit and and to only. ratio all amount occupational They for these of do other NOT policies classes. disability provide Ask at income basic least your insurance 50%. hospital, representative This in basic ratio force for medical is and complete the applied portion or major details. for. of The future medical maximum Eligibility premiums insurance benefit is subject that as amount 2 Actual with to defined underwriting Lifetime benefit Benefit amount approval. Rider issued $10,000 depends per on amount month. of covered business overhead expenses and amount of other BOE insurance in force and applied for. The amount of BOE coverage 2 issued For MetLife policies expects by the New may also issued to return York be limited in New as State based York: benefits Insurance on These when Department. the benefit policies averaged period provide over The selected. disability all expected people insurance with benefit the ratio only. applicable for these They do policy. policies is at least 50%. This ratio is the portion of future premiums that NOT provide basic hospital, basic medical or major medical insurance as Actual MetLife benefit expects amount to return issued depends benefits on when amount averaged of covered over business all people overhead with the expenses applicable and policy. amount of other BOE insurance in force and applied for. The amount of BOE coverage 3 Age issued For defined policies by the 65 may in some also issued New be states. limited in York New State based York: Insurance on These the benefit policies Department. period provide The selected. disability expected insurance benefit only. ratio They for these do NOT policies provide is at basic least 50%. hospital, This basic ratio medical is the portion or major of future medical premiums insurance that Disability insurance is issued by Metropolitan Life Insurance Company on IDI2000-P/NC, IDI2000-P/NC-ML, IDI2000-P/GR and IDIP04-1. September as defined MetLife Disability expects by insurance the New to return is York issued as State benefits by Insurance Metropolitan when Department. averaged Life Insurance over The all expected Company people with benefit on IDI2000-P/NC, the ratio applicable for these policy. IDI2000-P/NC-ML, policies is at least IDI2000-P/GR 50%. This ratio and IDIP04-1. is the portion September of future premiums that 43 Some Age MetLife 65 limitations in expects some states. apply. to return Ask as your benefits representative when averaged for details. over all people with the applicable policy. Disability insurance is issued by Metropolitan Life Insurance Company on IDI2000-P/NC, IDI2000-P/NC-ML, IDI2000-P/GR and IDIP04-1. September Some limitations apply. Ask your representative for details. Disability insurance is issued Not by FDIC-Insured Metropolitan Life Not Insurance Insured By Company Any Federal on IDI2000-P/NC, Government Agency IDI2000-P/NC-ML, Not Guaranteed IDI2000-P/GR by Any Bank and or IDIP04-1. Credit Union September Not FDIC-Insured Not Insured By Any Federal Government Agency Not Guaranteed by Any Bank or Credit Union Not FDIC-Insured Not Insured By Any Federal Government Agency Not Guaranteed by Any Bank or Credit Union Not FDIC-Insured Not Insured By Any Federal Government Agency Not Guaranteed by Any Bank or Credit Union Metropolitan life insurance company Metropolitan 200 Park Avenue life insurance company 200 New Park York, Avenue NY Metropolitan New metlife.com York, NY life insurance company 200 metlife.com Park Avenue Metropolitan life insurance company New York, NY CLDI Park Avenue L [1013](xCA) CLDI22907 metlife.coml [1013](xca) New 2012 York, METLIFE, NY INC PEANUTS 2012 Peanuts Worldwide 2012 METLIFE, INC. PEANUTS 2012 Peanuts Worldwide metlife.com CLDI22907 L [1013](xCA) 2012 METLIFE, INC. PEANUTS 2012 Peanuts Worldwide CLDI22907 L [1013](xCA) 2012 METLIFE, INC. PEANUTS 2012 Peanuts Worldwide DisabilitY DisabilitY insurance insurance You work hard to build your practice and give your clients the best possible care. And in your career, you may have seen the consequences a disability can cause. How would a disabling illness or injury affect you your career, the people who rely on you at work, and the people who rely on you at home? Disability insurance can help you be prepared for the unexpected. Metlife has coverage that can help meet your needs, Disability insurance can help you be prepared for the unexpected. Metlife has coverage that can help meet your needs, including: including: Although you can t avoid the risk of a disability, you can be prepared with a disability plan designed for you. For more information, contact me today. Anthony Nicodemo Anthony Nicodemo Financial Services Representative Financial Services Representative (440) or (330) (440) or (330) Physician needed to help out, one day a week or less, at the total Living Center, th street sw, Canton. Please contact Dr. ed Hill at for details.

15 Stark County Medical Society March/April/May 2013 ANNOUNCEMENTS Special Thanks to Florin Stan from MetLife for sponsoring our February Board Meeting! Please join the Board in welcoming Becky Bors, Administrative Assistant. Becky will be working part-time and can be reached at or President s Message continued from front cover Clear identification of degrees for health care providers Establishing standards for State prescription drug monitoring programs Medicaid expansion in Ohio Obligations of insurance companies of full payment of the rate schedule Mandate creation of oversight panel for health insurance carriers Peer review by specialists with knowledge of the situation under review Recovery audit contractor audits Electronic health record surveillance Many of these issues affect the daily practice of medicine. Please notify Stark County Medical Society or one of our physician delegates with questions or concerns regarding these or any of the resolutions listed on the OSMA website. Additionally, if there is a topic of concern that is not represented in the resolutions, please make your local society aware of this matter. Thanks to Huntington Insurance and Ed Hassay ( ) for sponsoring our March 21st General Membership Meeting. Tired of paying high credit card processing fees? Contact Russell McAllister from First Data/Huntington for excellent rates only available to SCMS members. Russell can be reached at Watch your inbox for details of our upcoming Annual OSHA Seminar sponsored by Accu Medical. available Board Certified Family Practitioner 3 Day per Week Fax requirements to

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